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Prescription Writing
Prescription Writing
200
9
Dr.Saeed Ahmed
A prescription:
A physician's order to prepare / to dispense a
specific Tr -usually medication- for an
individual patient.
Rational prescribing:
Like any other process in health care, writing a
prescription should be based on a series of
rational steps:
1- Make a specific diagnosis
2- Consider ! pathophysiologic implications of !
diagnosis
3- Select a specific therapeutic objective
4- Select a drug of choice
5- Determine ! appropriate dosing regimen
6- Devise a plan for monitoring ! drug’s action &
determine an end point for therapy
7- Plan a program of patient education.
In ! hospital setting, drugs are prescribed on a
particular page of ! patient’s hospital chart
called ! physician’s order sheet/ chart order.
Weaker opioids such Current accepted medical use. moderate < class II III
as codeine, some or low potential for physical & high
amphetamine-like potential for psychologic dependence, No
drugs refills, Rx must be rewritten after 6 months
Diazepam, Medical use is < III IV
phenobarbital, accepted. Limited /
chloral hydrate etc low potential for
dependence
Schedule I
Drugs in this schedule have no accepted medical use & have a high abuse potential.
Ex. heroin, marijuana, LSD, etc.
Schedule II
Drugs in this schedule have a high abuse potential e severe psychic or physical
dependence liability. Included are certain narcotic analgesics, stimulants, &
depressant drugs. Ex. opium, morphine, codeine, methadone, cocaine,
amphetamine.
Schedule III
Drugs in this schedule have an abuse potential < than those in Schedules I & II &
include compounds containing limited quantities of certain narcotic analgesic
drugs, & other drugs such as barbiturates. pentobarbital.
Schedule IV
Drugs in this schedule have an abuse potential < than those listed in Schedule III &
include such drugs as barbital, phenobarbital, chloral hydrate, chlordizepoxide,
diazepam, oxazepam etc.
Schedule V
Drugs in this schedule have an abuse potential < than those listed in Schedule IV
& consist primarily of preparations containing limited quantities of certain narcotic
analgesic drugs used for antitussive & antidiarrheal purposes.
Rx for controlled drugs:
Should not be typed & written by hand
Written in ink
Signed & dated
Carry ! prescriber's full name, address &
registration number
State ! form of ! drug
State ! total quantity of ! drug or ! number of
doses units (10.0 mg i.e. ten milligrams)
Not be refillable > than 5 times in a 6 months
period for schedule III-IV-V Rx;
No refilling for schedule II Rx.
Abbreviation \ Meaning
before meals . a. c
Capsules cap
gram g
hour .h
milligram mg
milliliter ml
when necessary . p . r. n
Intra-arterial IA
Intramuscular IM
intravenous IV
Hs At bed time
Capsule Cap
suspension Susp
tablet Tab
Stat At once
D/C Discontinue
CD Controlled drugs
Computerized physician order entry (CPOE):